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P E R S O N A L I N F O
Full Name (Required)
Gender
Male
Female
Street Address (Required)
City (Required)
State (Required)
Zip (Required)
Phone (Required)
Email (Required)
Shirt size
S
M
L
XL
2XL
3XL
Birthdate
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Day
1
2
3
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5
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9
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13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
Marital Status (Required)
Marital Status (Required)
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Select...
Single
Married
Divorced
Parent/Guardian Name (Required)
Parent/Guardian Phone (Required)
Are you authorized to work in the U.S.?
Yes
No
If no, what certification do you have to work in the U.S.?
P E R S O N A L H I S T O R Y
Are there any limitations to your physical ability that we need to be made aware?
Yes
No
If yes, please explain:
Do you have any prior experience related to abuse, neglect, or abandonment?
Yes
No
If yes, please explain:
Do you have any training working with children who have been abused, neglected, and or abandoned?
Yes
No
Have you ever been denied the opportunity to work with children in any capacity?
Yes
No
If yes, please explain:
Have you ever been arrested for or charged with any criminal offense including but not limited to sexual crimes, violent crimes, or a drug and alcohol related crimes?
Yes
No
If yes, please explain:
Which of the following have you obtained?
High School Diploma
General Education Development
None
Name of High School (Required)
High school graduation
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
When did you start/finish college?
–
Names of colleges, universities, technical schools
Field(s) of Study
Degree(s) Received
List Certifications (First Aid, CPR, Lifeguard, AED, etc)
E M P L O Y M E N T
Previous Employer (Required)
Employers Phone Number
Position (Required)
Employment Dates
–
Basic Responsibilities (Required)
Other Employment Record
List most recent employment first: Employer #2: (Employer Name) (Position) (Dates of Employment) (Employers Phone Number) (Basic Responsibilities) Employer #3: (Employer Name) (Position) (Dates of Employment) (Employers Phone Number) (Basic Responsibilities) Employer #4: (Employer Name) (Position) (Dates of Employment) (Employers Phone Number) (Basic Responsibilities) Employer #5: (Employer Name) (Position) (Dates of Employment) (Employers Phone Number) (Basic Responsibilities)
C H R I S T I A N F O R M A T I O N
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Is Jesus Christ your Lord and Savior?
Yes
No
Camp and Ministry Experience
Camp and Ministry Experience Experience #1: (Name of Organization) (Position) (Dates of Service) (Supervisor Name) (Supervisor Phone) (Basic Responsibilities) Experience #2:(Name of Organization) (Position) (Dates of Service) (Supervisor Name) (Supervisor Phone) (Basic Responsibilities) Experience #3:(Name of Organization) (Position) (Dates of Service) (Supervisor Name) (Supervisor Phone) (Basic Responsibilities)
Church Name (Required)
How long have you attended this church?
Who has made the biggest impact on your spiritual life? (Required)
S H O R T A N S W E R S
1. Please give a brief testimony of how you came to know Jesus. What was your life like before and after coming to Jesus. (Required)
2. What do you do to deepen your relationship with Jesus? (Required)
3. How would you tell someone about salvation through Jesus? (Required)
4, What are you most proud of from your life? (Required)
5. Why do you want to join our year-round staff? (Required)
6. What makes you most qualified for this position? (Required)
R E F E R E N C E S
Full Name (Required)
Pastoral Reference:
Phone (Required)
E-mail Address (Required)
Full Name (Required)
Employer, Supervisor, or Teacher Reference:
Phone (Required)
E-mail Address (Required)
Commitment of Honesty
By clicking "I agree," I signify the above information is true and accurate to the best of my knowledge. I also agree to participate in all training provided by Covenant Cedars Bible Camp.
I agree
